501(r) Policy
The full name / description of "FAP"
Financial Assistance Policy
Allied / Nationwide
Health system with the highest # of partner applications submitted to-date
Ascension (23) followed by Dignity (20) and Adventist (14)
Total number of charity care applications submitted from the Goodbill system as of 2/26 AM
1613
#1 reason for application denials
Over-Income
Types of medical care that 501(r) must cover, according to the IRS legislation
Emergency and medically necessary care
Our FIRST partner for 501(r)
E.D.I.S.
Large system with a 90% application approval rate
HCA
Total number of CCCTs marked 'finished' as of 2/26 AM
16, 911
The current federal poverty level for a household of 1 (2026)
$15,960
Application window from the day the first bill is provided to the patient
240 days?
Partners that provide 'heath share' plans
netWell (all claims) and Clearwater (some claims)
Single hospital location with largest number of applications to-date
Vanderbilt University Medical Center
Where in the product flow can you see information about charity care application deliveries? (2)
The charity care application Notes & Activity, or previous delivery table within the calling drawer
The most common reason that Goodbill applications are sent in without accurate household income amounts or documentation
Only one adult in a two income household provided information / documentation
A hospital must take _____ ______ before engaging in Extraordinary Collections Actions
"reasonable measures"?
Percent of applications to-date from consumers vs. partners to-date
72%
Where in the task flow can you identify if an application is for a pre-payment or post-payment claim?
Above the patient balance boxes within the CCCT calling drawer
All-time denial rate (across partners and consumer)
43%
A hospital *cannot* deny an application for missing these types of supporting documents
Any document or document type not specifically requested in the policy or application
Total number of partners currently contracted for 501(r) through Goodbill
25
Information used as inputs to the 'eligibility determination' boxes on the charity care app page
1. Household size and income
2. Insurance and residency
3. Application / document requirements
Can a hospital send a patient to collections after they have submitted an application for financial aid?
Yes -- *if* -- they were given notice within the 120 / 240 day windows, were given feedback on their application (if incomplete) and were given additional time to re-submit or complete the application